A5083645345- Adolescent Sexual and Reproductive Health
- HIV/AIDS Research and Interventions
- Sexuality, Behavior, and Technology
- Sex work and related issues
- Reproductive Health and Contraception
- Sexual function and dysfunction studies
- Family Dynamics and Relationships
- LGBTQ Health, Identity, and Policy
- HIV, Drug Use, Sexual Risk
- Homelessness and Social Issues
- Genomics and Rare Diseases
- BRCA gene mutations in cancer
- Gender, Labor, and Family Dynamics
- Neurological Disorders and Treatments
- Acute Ischemic Stroke Management
- Maternal and Perinatal Health Interventions
- Homicide, Infanticide, and Child Abuse
- Hepatitis B Virus Studies
- Mental Health Treatment and Access
- Pelvic floor disorders treatments
- Reproductive tract infections research
- Health, psychology, and well-being
- Demographic Trends and Gender Preferences
- Health Promotion and Cardiovascular Prevention
- Marriage and Sexual Relationships
Pomona College
2024
Providence College
2024
Yale University
2024
University College London
2013-2020
Providence Health & Services
2019
Centre for Sexual Health and HIV AIDS Research
2017
Mortimer Market Centre
2003-2016
University of KwaZulu-Natal
2013
New York University
2005
BackgroundDespite its importance to sexual health and wellbeing, function is given little attention in policy. Population-based studies are needed understand across the life course.MethodsWe undertook a probability sample survey (the third National Survey of Sexual Attitudes Lifestyles [Natsal-3]) 15 162 individuals aged 16–74 years who lived Britain (England, Scotland, Wales). Interviews were done between Sept 6, 2010, Aug 31, 2012. We assessed distribution by use novel validated measure...
Unplanned pregnancy is a key public health indicator. We describe the prevalence of unplanned pregnancy, and associated factors, in general population sample Britain (England, Scotland, Wales).We did probability survey, third National Survey Sexual Attitudes Lifestyles (Natsal-3), 15,162 men women aged 16-74 years Britain, including 5686 child-bearing age (16-44 years) who were included analysis, between Sept 6, 2010, Aug 31, 2012. planning status pregnancies with known outcomes past year,...
What is the prevalence of infertility and help seeking among women men in Britain? One eight one ten aged 16–74 years had experienced infertility, defined by unsuccessfully attempting pregnancy for a year or longer, little more than half these people sought medical professional help. Estimates Britain vary widely are not easily comparable because different definitions study populations. A cross-sectional population survey was conducted between 2010 2012 with sample 15 162 years. Participants...
Physical and mental health could greatly affect sexual activity fulfilment, but the nature of associations at a population level is poorly understood. We used data from third National Survey Sexual Attitudes Lifestyles (Natsal-3) to explore between lifestyles in Britain (England, Scotland, Wales).Men women aged 16-74 years who were resident households interviewed Sept 6, 2010, Aug 31, 2012. Participants completed survey their own homes through computer-assisted face-to-face interviews...
Establishing the clinical significance of symptoms sexual dysfunction is challenging. To address this, fifth edition Diagnostic and Statistical Manual Mental Disorders (DSM-5) introduced two new morbidity criteria (duration symptom severity) to existing distress. This study sought establish impact these three on population prevalence function problems. The data come from a national probability survey (Natsal-3) are based 11,509 male female participants aged 16–74, reporting at least one...
Objective To assess progress in meeting young people's sex education needs Britain by examining the current situation and changes over past 20 years sources of information about sexual matters unmet needs. Design Cross-sectional probability sample surveys. Setting British general population. Participants 3869 men women aged 16–24 years, interviewed 2010–2012 for third National Survey Sexual Attitudes & Lifestyles (Natsal-3), compared with year-olds Natsal-1 (1990–1991; 792 women)...
BackgroundIn 2000, a 10-year Teenage Pregnancy Strategy was launched in England to reduce conceptions women younger than 18 years and social exclusion young parents. We used routinely collected data from Britain's National Surveys of Sexual Attitudes Lifestyles (Natsal) examine progress towards these goals.MethodsIn this observational study, we random-effects meta-regression analyse the change conception rates 1994–98 2009–13 by top-tier local authorities England, relation Strategy-related...
<h3>Objectives</h3> Online venues might facilitate sexual encounters, but the extent to which finding partners online is associated with risk behaviour and health outcomes unclear. We describe use of internet find in a representative sample Britain. <h3>Methods</h3> The third National Survey Sexual Attitudes Lifestyles (Natsal-3) was cross-sectional probability survey 15 162 adults (aged 16–74 years) undertaken 2010–2012. estimated prevalence of, identified factors with, among those...
To investigate factors associated with reporting lacking interest in sex and how these vary by gender.British general population.Complex survey analyses of data collected for a cross-sectional probability sample survey, undertaken 2010-2012, specifically logistic regression to calculate age-adjusted OR (AOR) identify factors.4839 men 6669 women aged 16-74 years who reported ≥1 sexual partner (opposite-sex or same-sex) the past year third National Survey Sexual Attitudes Lifestyles...
Background Health risk behaviours are prominent in late adolescence and young adulthood, yet UK population-level research examining the relationship between drug or alcohol use sexual health behaviour among people is scarce, despite public calls for an integrated approach to improvement. Our objective was further our understanding of scale nature any such relationship, using contemporary data from Britain's third National Survey Sexual Attitudes Lifestyles (Natsal-3). Methods Analyses...
To examine variation in source of information about sexual matters by sociodemographic factors, and associations with behaviours outcomes.Cross-sectional probability sample survey.British general population.3408 men women, aged 17-24 years, interviewed from 2010-2012 for third National Survey Sexual Attitudes Lifestyles.Main (school, a parent, other); age circumstances first heterosexual intercourse; unsafe sex distress past year; experience sexually transmitted infection (STI) diagnoses,...
<h3>Objectives</h3> Men who pay for sex (MPS) are considered a bridging population sexually transmitted infections (STI). However, the extent, characteristics and role of MPS in transmission is poorly understood. We investigate these questions using data from Britain9s third National Survey Sexual Attitudes Lifestyles (Natsal-3). <h3>Methods</h3> performed complex survey analyses 6293 men aged 16–74 years resident Britain completed Natsal-3, probability sample undertaken during 2010–2012,...
To estimate the prevalence of use different sources contraceptive supplies in Britain and its variation by key demographic behavioural characteristics.Cross-sectional probability sample survey women men aged 16-74 years, resident Britain, interviewed between 2010 2012. Analyses reported here were 4571 3142 16-44 years who having vaginal sex past year. Those relying exclusively on sterilisation (including hysterectomy) excluded. Sources categorised as: general practice, community clinic,...
Objectives Breakdown of marriage and cohabitation is common in Western countries costly for individuals society. Most research on reasons breakdown has focused marriages ending divorce and/or have used data unrepresentative the population. We present prevalence estimates of, differences in, reported recent cohabitations Britain. Methods Descriptive analyses from Britain's third National Survey Sexual Attitudes Lifestyles (Natsal-3), a probability sample survey (15,162 people aged 16–74...
The Natsal-SF is a psychometrically validated measure of sexual function for use in community health surveys, derived from 17 questions reflecting three components function. Scoring requires knowledge complex statistical modeling and, given the methodological complexities, we assessed validity two simplified scoring methods calculated using factor loadings produced when originally items. Method 1 uses these to decimal places, while method 2 assigns whole numbers each item based on loadings....
Objective Despite increases in STIs among those over 40, little is known about the social context of STI transmission people experiencing relationship transition midlife, and few sexual health promotion initiatives are targeted at this group. This study sought to identify factors shaping risk perceptions practices midlife individuals either contemplating or having sex with new partners following end a long-term relationship. Methods Participants were purposively selected from respondents...
<h3>Importance</h3> The timing of sexual partnerships is important for sexually transmitted infection (STI) transmission potential. Studies often measure as whether overlap in time (concurrency), but this does not account how STI risk from previous partners can be carried forward into future even when there a gap between them (serial monogamy) if the infectious period greater than gap. <h3>Objective</h3> To examine association partnerships, measured or partners, and perceptions partners’...
To describe actual and preferred contraceptive sources among young people in Britain whether discordance between these is associated with markers of sexual risk behaviour or poor health.Cross-sectional probability sample survey.British general population.3869 men women aged 16-24 years interviewed for the third National Survey Sexual Attitudes Lifestyles (Natsal-3) 2010 2012.Reported source method(s) if all were available easily accessible.Of 75% (aged 16-24) who heterosexually active (1619...
The extent to which individuals are similar their sexual partners influences STI-transmission probabilities, yet there is a dearth of empirical data, especially those representative the population. Analyses data reported by 10 759 sexually active people aged 16–74 y interviewed for British national probability survey undertaken in 2010–12. Computer-assisted self-interviews asked about partner numbers and characteristics participants’ three most recent partnerships (MRPs). Opposite-sex MRPs...
This study aimed to provide a population-based estimate of human papillomavirus (HPV) seropositivity for women in rural African context and evaluate the impact HPV serostatus on subsequent acquisition HIV outside clinical setting.
<h3>Background</h3> MSM continue to be disproportionately burdened by STIs and HIV, but sexual well-being is increasingly recognised as being broader than the absence of disease. <h3>Aim</h3> To compare sociodemographic, behavioural, health profiles (reporting > = 1 male partner(s), past 5 years) in Britain with men reporting sex exclusively women (MSEW) during this time, a decade earlier, consider changes over time. <h3>Methods</h3> Britain’s third National Survey Sexual Attitudes...
Our aim was to ascertain current guidelines and clinical practices prevalent in HIV treatment centres the North Thames Region of England on care patients co-infected with hepatitis B or C. A self-completed postal survey clinic retrospective case-note reviews performed. Fifteen 27 units completed generally had consistent national guidelines. Stated policy usually screen for virus (HBV) C (HCV) offer specific therapy as well HIV. Many were unable contribute cases review, probably through lack...
Behavioral health integration (BHI) models seek to improve patient experience and outcomes by bridging physical behavioral services. Past BHI research has not focused on stigma in these settings, which been previously found impact engagement outcomes. We surveyed patients over a two year period at 12 integrated clinics Oregon using measures developed Patient Advisory Team. Over quarter of respondents reported stigmatization (26.81%). Compared non-stigmatized patients, those who had five...
<title>Abstract</title> Population-scale genomics programs may enable increased access to genomic medicine. The Genomic Medicine for Everyone (Geno4ME) program was established across the diverse seven-state Providence Health system research and genome-guided care pathways patients’ lifetimes. Key components included targeted multi-lingual outreach underrepresented groups, a novel electronic informed consent (e-consent) education platform, whole genome sequencing (WGS) with clinical return of...